{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:42:09Z","timestamp":1777880529913,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tibial plateau fractures in skiers are devastating injuries with increasing incidence. Few studies have evaluated patient-reported outcomes and return to skiing after operative fixation of a tibial plateau fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To (1) identify demographic factors, fracture characteristics, and patient-reported outcome measures that are associated with return to skiing and (2) characterize changes in skiing performance after operative fixation of a tibial plateau fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed all operative tibial plateau fractures performed between 2016 and 2021 at a single level-1 trauma center. Patients with a minimum of 10-month follow-up data were included. Patients who self-identified as skiers or were injured skiing were divided into those who returned to skiing and those who did not postoperatively. Patients were contacted to complete the Patient-Reported Outcomes Measurement Information System\u2013Physical Function domain (PROMIS-PF), the Knee injury and Osteoarthritis Outcome Score\u2013Activities of Living (KOOS-ADL), and a custom return-to-skiing questionnaire. Multivariate logistic regression was performed with sex, injury while skiing, PROMIS-PF, and KOOS-ADL as covariates to evaluate factors predictive of return to skiing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 90 skiers with a mean follow-up of 3.4 \u00b1 1.5 years were included in the analysis. The rate of return to skiing was 45.6% (n = 41). The return cohort was significantly more likely to be men (66% vs 41%; P = .018) and injured while skiing (63% vs 39%; P = .020). In the return cohort, 51.2% returned to skiing 12 months postoperatively. The percentage of patients who self-reported skiing on expert terrain dropped by half from pre- to postinjury (61% vs 29.3%, respectively). Only 78% of return skiers had regained comfort with skiing at the final follow-up. Most patients (65%) felt the hardest aspect of returning to skiing was psychological. In the multivariate regression, the male sex and KOOS-ADL independently predicted return to skiing ( P = .006 and P = .028, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fewer than half of skiers who underwent operative fixation of a tibial plateau fracture could return to skiing at a mean 3-year follow-up. The knee-specific KOOS-ADL outperformed the global PROMIS-PF in predicting a return to skiing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671231205925","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T08:12:27Z","timestamp":1697616747000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Return to Skiing After Tibial Plateau Fracture"],"prefix":"10.1177","volume":"11","author":[{"given":"Dillon C.","family":"O\u2019Neill","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor H.","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke A.","family":"Myhre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam H.","family":"Kantor","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Rothberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas F.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas S.","family":"Marchand","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin M.","family":"Haller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"bibr1-23259671231205925","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00348"},{"key":"bibr2-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513489284"},{"key":"bibr3-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-019-03150-6"},{"key":"bibr4-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.03.010"},{"issue":"6","key":"bibr5-23259671231205925","first-page":"1726","volume":"71","author":"Castillo RC","year":"2011","journal-title":"J Trauma"},{"key":"bibr6-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000258615.42478.55"},{"issue":"383","key":"bibr7-23259671231205925","first-page":"243","volume":"2001","author":"Gill TJ","journal-title":"Clin Orthop Relat Res"},{"key":"bibr8-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr9-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199408000-00001"},{"key":"bibr10-23259671231205925","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-18-00720"},{"key":"bibr11-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-021-01644-w"},{"key":"bibr12-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512462564"},{"key":"bibr13-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117743916"},{"key":"bibr14-23259671231205925","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200232070-00003"},{"key":"bibr15-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266029"},{"key":"bibr16-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513489524"},{"key":"bibr17-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.03.024"},{"key":"bibr18-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.03.003"},{"key":"bibr19-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01220-3"},{"key":"bibr20-23259671231205925","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i7.574"},{"key":"bibr21-23259671231205925","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"issue":"138","key":"bibr22-23259671231205925","first-page":"94","volume":"1979","author":"Schatzker J","journal-title":"Clin Orthop Relat Res"},{"key":"bibr23-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.05.035"},{"key":"bibr24-23259671231205925","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2151-8"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671231205925","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671231205925","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671231205925","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:14:17Z","timestamp":1777594457000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671231205925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/23259671231205925"],"URL":"https:\/\/doi.org\/10.1177\/23259671231205925","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]},"article-number":"23259671231205925"}}